H34.9: Unspecified retinal vascular occlusion
H34.9, unspecified retinal vascular occlusion, is listed as a covered diagnosis in 5 Medicare billing and coding articles that apply to 27 HCPCS Level II codes, including C8900 (Magnetic resonance angiography with contrast, abdomen), C8901 (Magnetic resonance angiography without contrast, abdomen), C8902 (Magnetic resonance angiography without contrast followed…). The articles come from 4 Medicare contractors. A listed diagnosis supports medical necessity only; coverage still depends on the LCD's criteria and on documentation in the medical record.
HCPCS Level II codes with H34.9 as a covered diagnosis
| Code | Description | Medicare coverage | DMEPOS fee 2026 (state range) | Articles listing it |
|---|---|---|---|---|
| C8900 | Magnetic resonance angiography with contrast, abdomen | Special coverage instructions apply | — | 2 |
| C8901 | Magnetic resonance angiography without contrast, abdomen | Special coverage instructions apply | — | 2 |
| C8902 | Magnetic resonance angiography without contrast followed by with contrast, abdomen | Special coverage instructions apply | — | 2 |
| C8909 | Magnetic resonance angiography with contrast, chest (excluding myocardium) | Special coverage instructions apply | — | 2 |
| C8910 | Magnetic resonance angiography without contrast, chest (excluding myocardium) | Special coverage instructions apply | — | 2 |
| C8911 | Magnetic resonance angiography without contrast followed by with contrast, chest (excluding myocardium) | Special coverage instructions apply | — | 2 |
| C8912 | Magnetic resonance angiography with contrast, lower extremity | Special coverage instructions apply | — | 2 |
| C8913 | Magnetic resonance angiography without contrast, lower extremity | Special coverage instructions apply | — | 2 |
| C8914 | Magnetic resonance angiography without contrast followed by with contrast, lower extremity | Special coverage instructions apply | — | 2 |
| C8918 | Magnetic resonance angiography with contrast, pelvis | Special coverage instructions apply | — | 2 |
| C8919 | Magnetic resonance angiography without contrast, pelvis | Special coverage instructions apply | — | 2 |
| C8920 | Magnetic resonance angiography without contrast followed by with contrast, pelvis | Special coverage instructions apply | — | 2 |
| J7999 | Compounded drug, not otherwise classified | Special coverage instructions apply | — | 1 |
| C9257 | Injection, bevacizumab, 0.25 mg | Special coverage instructions apply | — | 1 |
| C8931 | Magnetic resonance angiography with contrast, spinal canal and contents | Special coverage instructions apply | — | 1 |
| C8932 | Magnetic resonance angiography without contrast, spinal canal and contents | Special coverage instructions apply | — | 1 |
| C8933 | Magnetic resonance angiography without contrast followed by with contrast, spinal canal and contents | Special coverage instructions apply | — | 1 |
| C8934 | Magnetic resonance angiography with contrast, upper extremity | Special coverage instructions apply | — | 1 |
| C8935 | Magnetic resonance angiography without contrast, upper extremity | Special coverage instructions apply | — | 1 |
| C8936 | Magnetic resonance angiography without contrast followed by with contrast, upper extremity | Special coverage instructions apply | — | 1 |
| G0278 | Iliac and/or femoral artery angiography, non-selective, bilateral or ipsilateral to catheter insertion, performed at the same time as cardiac catheterization and/or coronary angiography, includes positioning or placement of the catheter in the distal aorta or ipsilateral femoral or iliac artery, injection of dye, production of permanent images, and radiologic supervision and interpretation (list separately in addition to primary procedure) | Carrier judgment | — | 1 |
| J0461 | Injection, atropine sulfate, 0.01 mg | Special coverage instructions apply | — | 1 |
| J0153 | Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds) | Special coverage instructions apply | — | 1 |
| J1250 | Injection, dobutamine hydrochloride, per 250 mg | Special coverage instructions apply | — | 1 |
| J0280 | Injection, aminophyllin, up to 250 mg | Special coverage instructions apply | — | 1 |
2 more codes are listed. See every code with payment by region in Caduvo.
Medicare policy articles listing H34.9
- A53008: Billing and Coding: Intraocular Bevacizumab (Noridian Healthcare Solutions, LLC (MAC - Part A, MAC - Part B); 2 Level II codes)
- A56805: Billing and Coding: Magnetic Resonance Angiography (MRA) (Novitas Solutions, Inc. (MAC - Part A, MAC - Part B); 12 Level II codes). LCD with the same title: L33633, L34372, L34865
- A56775: Billing and Coding: Magnetic Resonance Angiography (Palmetto GBA (MAC - Part A, MAC - Part B); 18 Level II codes). LCD with the same title: L34424
- A57056: Billing and Coding: Aortography and Peripheral Angiography (First Coast Service Options, Inc. (MAC - Part A, MAC - Part B); 1 Level II codes). LCD with the same title: L36767
- A56625: Billing and Coding: Echocardiography (Palmetto GBA (MAC - Part A, MAC - Part B); 6 Level II codes). LCD with the same title: L37379
A diagnosis listed as covered in a billing and coding article supports medical necessity for the article's codes; it does not guarantee payment. Coverage depends on the LCD's criteria, the contractor's jurisdiction and documentation in the medical record.
Other H34 diagnoses (Retinal vascular occlusions)
- H34.01 — Transient retinal artery occlusion, right eye
- H34.02 — Transient retinal artery occlusion, left eye
- H34.03 — Transient retinal artery occlusion, bilateral
- H34.11 — Central retinal artery occlusion, right eye
- H34.12 — Central retinal artery occlusion, left eye
- H34.13 — Central retinal artery occlusion, bilateral
- H34.211 — Partial retinal artery occlusion, right eye
- H34.212 — Partial retinal artery occlusion, left eye
- H34.213 — Partial retinal artery occlusion, bilateral
- H34.231 — Retinal artery branch occlusion, right eye
- H34.232 — Retinal artery branch occlusion, left eye
- H34.233 — Retinal artery branch occlusion, bilateral
- H34.8110 — Central retinal vein occlusion, right eye, with macular edema
- H34.8111 — Central retinal vein occlusion, right eye, with retinal…
- H34.8112 — Central retinal vein occlusion, right eye, stable
- H34.8120 — Central retinal vein occlusion, left eye, with macular edema
- H34.8121 — Central retinal vein occlusion, left eye, with retinal…
- H34.8122 — Central retinal vein occlusion, left eye, stable
- H34.8130 — Central retinal vein occlusion, bilateral, with macular edema
- H34.8131 — Central retinal vein occlusion, bilateral, with retinal…
- H34.8132 — Central retinal vein occlusion, bilateral, stable
- H34.821 — Venous engorgement, right eye
- H34.822 — Venous engorgement, left eye
- H34.823 — Venous engorgement, bilateral
- H34.8310 — Tributary (branch) retinal vein occlusion, right eye, with macular…
- H34.8311 — Tributary (branch) retinal vein occlusion, right eye, with retinal…
- H34.8312 — Tributary (branch) retinal vein occlusion, right eye, stable
- H34.8320 — Tributary (branch) retinal vein occlusion, left eye, with macular…
- H34.8321 — Tributary (branch) retinal vein occlusion, left eye, with retinal…
- H34.8322 — Tributary (branch) retinal vein occlusion, left eye, stable
Frequently asked questions
Does Medicare cover H34.9 (Unspecified retinal vascular occlusion)?
Medicare covers items and services, not diagnoses. 5 Medicare billing and coding articles list H34.9 as a covered diagnosis for 27 HCPCS Level II codes: the diagnosis can support medical necessity for those codes, but payment still depends on the LCD's coverage criteria and the medical record.
Which HCPCS codes can be billed with ICD-10 H34.9?
The Level II codes from the policies most specific to this diagnosis are C8900 (Magnetic resonance angiography with contrast, abdomen, 2 articles); C8901 (Magnetic resonance angiography without contrast, abdomen, 2 articles); C8902 (Magnetic resonance angiography without contrast followed…, 2 articles); C8909 (Magnetic resonance angiography with contrast, chest…, 2 articles); C8910 (Magnetic resonance angiography without contrast, chest…, 2 articles). Code choice depends on the item supplied; check each code's descriptor.
Which Medicare policy articles list H34.9?
A53008 (Billing and Coding: Intraocular Bevacizumab); A56805 (Billing and Coding: Magnetic Resonance Angiography (MRA)); A56775 (Billing and Coding: Magnetic Resonance Angiography), and 2 more articles.
What is ICD-10-CM code H34.9?
H34.9 is the ICD-10-CM code for unspecified retinal vascular occlusion, in category H34 (Retinal vascular occlusions), chapter 7: Diseases of the eye and adnexa.
Next steps
- Run a reimbursement report for a device billed under C8900
- Watch C8900 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for C8900
Sources: CMS Medicare Coverage Database billing and coding articles (covered ICD-10 code lists and HCPCS links); ICD-10-CM FY2026; CMS HCPCS Level II release October 2026; CMS DMEPOS fee schedule 2026 (non-rural state fees). Not billing or legal advice.
Chapter 7: Diseases of the eye and adnexa · All diagnoses · HCPCS lookup